Outpatient versus observation/inpatient parotidectomy: patient factors and perioperative complications

• Published in: European archives of oto-rhino-laryngology 2017-09, Vol.274 (9), p.3437-3442
• Main Authors: Van Horn, Adam J., Goldman, Richard A., Charnigo, Richard J., Johnson, Kai C., Valentino, Joseph, Aouad, Rony K.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Ambulatory Surgical Procedures - methods; Female; Head and Neck; Head and Neck Surgery; Humans; Incidence; Inpatients; Intraoperative Complications - epidemiology; Male; Medicine; Medicine & Public Health; Middle Aged; Neurosurgery; Observation - methods; Otorhinolaryngologic Surgical Procedures - methods; Otorhinolaryngology; Outpatients; Parotid Gland - physiology; Parotid Gland - surgery; Parotid Neoplasms - diagnosis; Parotid Neoplasms - surgery; Postoperative Complications - epidemiology; United States - epidemiology
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-017-4641-5

The objective of this manuscript is to review a single institution’s experience with superficial or total parotidectomy in outpatient and observation/inpatient groups. All patients who underwent superficial or total parotidectomy between 2009 and 2015 were identified. Patients were excluded if they had undergone concurrent surgery such as neck dissection, had prior radiation treatment or surgery at the operative site. Main outcomes were perioperative complications in both groups. 215 consecutive patients were included in the study, 116 (54%) patients in the inpatient group and 99 (46%) in the outpatient group. Aside from a higher observed rate of cardiac disease in the outpatient group (24.2 vs. 11.2%, p  = 0.014) and larger mean body mass index (BMI) in the inpatient group (32.448 vs. 30.034, p  = 0.017), there were no significant differences for age, sex or smoking status. Average operative time differed between groups with 2 h 42 min for inpatients and 2 h 18 min for outpatients ( p